Individual
ANGELA VICTORIANO RESURRECCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8100
Mailing address
2360 MILBURN AVE, BALDWIN, NY 11510-3322
(718) 791-5402
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402302
NY
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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